Pathology Flashcards
Dystrophic calcification occurs in ……tissues
Calcium level in dystrophic calcification is….
Dying tissues
Normal
What is red infarct? Where does it occur?
Venous occlusion seen in organ with dual blood supply
Gut
Mc type of necrosis
Features of irreversible injury (4)
Coagulative necrosis
- Flocculent,large amorphous densities in mitochondria —> increased mitochondrial permeability.
- Swelling and disruption of lysosomes and autolysis
- Nuclear degradation
- Plasma membrane damage
Features of apoptosis (3)
- Condensation of nuclear chromatin followed by fragmentation
- Formation of cytoplasmic/ membrane blebs
- Phagocytosis of apoptotic cells
Phagocytosis is inhibited by ….
Egs of autoimmune diseases (3)
Bcl2
- SLE
- Graves’ disease
- Myasthenia gravis
Gamma gandy bodies are seen in…..
Chronic venous congestion of spleen - sickle cell anemia
Leukotrienes which cause vasoconstrictions
LTB4 causes ….
LTC4,D4,E4
Adhesion of WBC
Prostaglandins inhibit…..in coagulation pathway
C5a is important in…..
Platelet aggregation
Chemotaxis
Wound contraction is mediated by …..
Epitheloid and multinucleated giant cells are derived from ….
Fibroblast
Monocyte-macrophages
ARDS/ diffuse alveolar damage is also known as….
Lines of Zahn are seen in ……
Shock lung
Thrombus
Chicken fat clot is ….
Procoagulant states (2)
Post mortem thrombus
- Protein C & S deficiency
- Factor 5/ Leiden mutation
Hyperviscosity seen in …(2)
Cryoglobinemia
Multiple myeloma
MHC is located on chromosome…..
Cells that are a part of innate immunity
6
NK cells
NK cells are expressed on …..
NK cells kills …..&…….cells
CD16,CD 56
Infected and cancer cells
Killing by NK cells is …..
MHC independent-not dependent on foreign Ag presentation
Translocations for burkitt lymphoma (2)
t(8:14), t(8:22)
Translocation for CML
Ewing sarcoma
t(9:22)
t(11:22)
Tumor marker for
1. Endodermal sinus tumor
2. Yolk sac tumor
- Pancreatic Neuroendocrine tumor
- Ca cervix
- AFP
- AFP
- Gastrin
- Keratin
Hypersensitivity reaction of PK/ prusnitz reaction
Casoni’s test
Type 1
Type 1
Hypersensitivity for schick’s test
Type 3- immune complex mediated
Egs of type 2 hypersensitivity reactions (5)
- ITP
- Immune haemolytic anemia
- Blood transfusion reaction
- Good pasteurs syndrome
- Graves’ disease (type 5)
Light microscopy of amyloidosis
Enlarged tubular basement membrane
Common types of amyloidosis (3)
Systemic
Localised
Hereditary
Types of systemic amyloidosis (3).
- Primary amyloidosis
- Secondary amyloidosis
- Dialysis related amyloidosis
Types of localised amyloidosis (5)
- Alzheimer’s disease
- Type 2 DM
- Medullary carcinoma thyroid
- Isolated atrial amyloidosis
- Systemic senile amyloidosis
Types of hereditary amyloidosis (2)
- Familial amyloid cardiomyopathy
- Familial amyloid polyneuropathy
Fibril protein of primary amyloidosis and seen in …..
AL Ig light chains
Seen in multiple myeloma
Fibril protein of secondary amyloidosis and seen in ….(4)
Serum amyloid A (AA)
Seen in chronic If conditions:
1. IBD
2. Familial Mediterranean fever
3. Rheumatic arthritis
4. Protracted infection
Fibril protein in dialysis related amyloidosis
Fibril protein of Alzheimer’s disease and pathology
Beta 2 microglobin
B amyloid protein
Cleaved amyloid precursor protein (APP)
Fibril protein of type 2 DM and pathology
Islet amyloid polypeptide
Caused by deposition of amylin in pancreatic islets
Fibril protein in Medullary carcinoma thyroid
Protein in isolated atrial amyloidosis
Seen in ….. risk of ….
Calcitonin
ANP
Seen in normal aging
Increased risk of Atrial fibrillation
Amyloid protein deposited in systemic senile amyloidosis
Seen predominantly in …..
Normal Wild type transthyretin TTR
Cardiac ventricles
Mutated transthyretin gene is seen for ….(2)
- Familial amyloid cardiomyopathy
- Familial amyloid polyneuropathy
Manifestations of amyloidosis (6)
- Cardiac: Restrictive cardiomyopathy
- G.I: macroglossia, hepatomegaly
- Renal : nephrotic syndrome
- Hematology: easy bruising, splenomegaly
- Neurology: neuropathy
- MSK : Carpal tunnel syndrome
5% African Americans are carriers of …..amyloidosis
Familial amyloid cardiomyopathy
Most common site of amyloidosis
Best dx method for amyloidosis
Kidney —-> Liver
Abdominal fat biopsy > Rectal biopsy
Congo red stain in ordinary light gives …
Expression of homocysteinuria
Pink colour
Autosomal recessive
Expression of VWD
Expression of retinoblastoma
AD
AD
Expression of hereditary spherocytosis
Chromosome 3 is involved in ….
Chromosome 4 is involved in …..
AD
Renal cell carcinoma
Huntington’s chorea
Chromosome 7 is involved in …..
Gene for folate carrier protein is located on ….
Cystic fibrosis
Chromosome 21
Gene regulating morphogenesis
APC is located on ….
BRCA1 is located on …
BRCA2 is located on ….
Homeobox genes (HOX)
Chromosome 5
Chromosome 17
Chromosome 13
First Ab to be synthesised after exposure to new Ag
First ab to be synthetized by fetus
Ab that fixes complement
IgM
IgM
IgM
Ig mediating reaginic hypersensitivity
IFN alpha is produced by …..
IFN beta is produced by ….
IgE
Leukocytes
Fibroblasts
IFN produced by T lymphocytes and NK cells
Edward syndrome is trisomy ….
Patau syndrome is trisomy ….
IFN gamma
18
13
Complement for opsonisation
Complement for chemotaxis
C3 b
C5 a
Most abundant collagen of human body is ….
Gene for von hipple lindau disease
Type 1
VHL gene - tumour suppressor
Rb gene is a tumour suppressor for …(2)
Retinoblastoma
Osteosarcoma
BRCA is tumour suppressor for ….
Medium sized vessels arteritis includes (2)
Hereditary breast carcinoma
PAN
Kawasaki disease
Esr of 100 is seen in ….
Pathological feature of malignant hypertension
Temporal arteritis
Fibrinoid necrosis
Hyaline arteriosclerosis is seen in ….
Pseudo aneurysm/ false aneurysm is seen in ….
Benign HTN
Hematoma - does not contain all 3 layers of arterial wall
Valves least involved in RHD
Earliest change seen in MI
Tricuspid valve & pulmonary
Waviness of fibers
Change noticed within 1-3 days of MI
Scarring in MI is complete by …..
Granulation tissue
3 months
Charcot layden crystals are seen in …..
Curschmann spirals are seen in ….
Asthma
Asthma
Test used for sarcoidosis
Features of sarcoidosis (3)
Kveims test
- End stage lung disease in 15-30% cases
60-70% recovers - Non caseating sarcoid granuloma
- Does not involve brain
Condition which may mimic sarcoidosis
Egg shell calcification pattern seen in ….
Intense fibrosis is a pathological feature of ….
Berylium inhalation
Silicosis
Mesothelioma
Particle size dangerous for pneumoconiosis
Smaller than 1 micron
Squamous cell esophageal cancer is related to ….(5)
- Smoking
- Alcohol
- Chronic achalasia
- Plummer Vinson syndrome
- Tylosis
Virus causing esophagitis (3)
- HSV1 & 2
- Varicella zoster
- CMV
GIST/ gastrointestinal stromal tumors are expressed on …(2)
CD117 & CD 34
Features of Gardner syndrome (4)
- Rectal and colonic polyposis
- Skin cysts
- Osteomas
- Dentigerous cysts
Features of peutz jegherz syndrome (2)
- Hamartomatous polyps of GIT
- Mucocutaneous pigmentation
Features of von recklinghausen disease (2)
Generalised neurofibromatosis
Cafe au lait pigmentation
Genetic predisposition for celiac disease (2)
DQ2,DQ8
Typhoid ulcers are (3)
- Longitudinal
- Ulceration of peyers patches
- Stricture is rare
Pipe stem colon is seen in….disease
Mc site of involvement in Crohn’s disease
Ulcerative colitis
Ileum
Mallory bodies are composed of …
Mallory bodies are seen in….(2)
Eosinophilic intracytoplasmic inclusions
- Primary biliary cirrhosis
- Alcoholism
Mallory hyaline is absent in ..(2)
- Secondary biliary cirrhosis
- Hepatitis
Acute infection of HBV ….positive (2)
Mc cause of sporadic cases of hepatitis in adults
- HbsAg+
- IgM antiHBc +
HEV
Angiosarcoma of liver is associated with …(2)
- Vinyl chloride
- Aflatoxin
Flea bitten kidney is seen in …(2)
- Malignant HTN
- Acute PSGN
Contracted kidney is seen in ..(2)
- Chronic GN
- Chronic pyelonephritis
AntiGBM ab seen in ….disease
Diffuse involvement is seen in ….
Goodpasteurs syndrome
PSGN
Sub epithelial humps seen in ….
FSGN having worst prognosis…..
PSGN
Collapsing variety
Subepithelial spikes is a feature of …
What are the crescents in RPGN?
Membranous GN
Epithelial cells+ fibrin + macrophage
Alports syndrome features (3)
- Hereditary nephritis
- Nerve deafness
- Eye disorders : anterior lenticonus
Dot and fleck retinopathy
Lung involvement in wegeners granulomatosis
B/L modular cavitary infiltrates- showing necrotising granulomatous vasculitis
Renal biopsy in wegeners granulomatosis is that of …..
Pauciimmune necrotising and crescentic GN
B/L renal cell cancer may be seen in …..
Finnish type of nephritic syndrome is due to ……
Von Hippel Lindau disease
Mutation of nephron
Mc gene defect in steroid resistant nephritic syndrome is …..
Papillary thyroid cancer spread by ….
NPHS2
Lymphatics
Histology feature of papillary thyroid cancer
Hurthle cell cancer is a variant of ….
Orphan annie eyed nuclei
Follicular cancer of thyroid